Key Responsibilities / Essential Functions
- Receive, place and transfer calls using appropriate telephone etiquette; handles telephone information request with courtesy, accuracy, and respect for patient confidentiality.
- Ensure receipt of all Emergency Room, Clinical, Surgical Day Care, and Inpatient Observation records.
- Assemble content of record into established order.
- Analyze charts for proper physician documentation and signatures.
- Ensure that each form in the medical record bears the name and medical record number for that particular patient.
- Forward all records to coder.
- Assist with release of information to patient and/or families, representatives of insurance companies, or any other person who might present to the Health Information Department.
- Ensure that all records are checked in and out of the department.
- Ensure all lab, x-ray and/or other pertinent information received after discharge is scanned or filed on the appropriate record.
- Scan documents to the correct patient account number.
- Scan charts needed for coding audits.
- Monitor and edit documents in the transcription system.
- Assist in retrieving charts for physician completion.
- Pull records for other department personnel for chart review.
- Assist in filing patient records in the permanent files.
- Assist in purging of medical records.
- Ensure receipt of all birth certificate worksheets, enter information into the ADPH EBR, and secure parents' signatures.
- Use policy and procedure manuals, and other reference materials, to ensure proper course of action in daily business operations.
- Complete all mandatory in-services annually.
- Demonstrate initiative toward being available to assist other hospital areas when the need arises.
- Perform additional duties as assigned.
Minimum Knowledge, Skills, Experience Required:
Education: High School diploma or equivalent
Experience: Experience preferred but not required